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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This CT Scan Indicate?

I was recently diagnosed with Type II Diabetes and idiopathic sclerosing mesenteritis. I am experiencing bouts of dull to severe left sided abd pain that is now being felt in my left mid-back. I have had a CT scan (2 wks ago) that says that the hazy area on my left side has worsened since the last CT scan (June 2014). I can tell that the physicians in my area are not familiar at all with the mesenteritis and really don t know how to treat me. My last HGBA1C was 6.1 and I am not on any insulin at this time as my blood sugars are always between 80-120, yet I feel a little funny after at least 1-2 small meals daily. I am becoming depressed, have lost over 50 lbs in 4 mths, and having a hard time understanding where to turn next. Is there an institute in the US that deals specifically with this type of diagnosis?
Fri, 7 Nov 2014
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General Surgeon,  's  Response
Hi.
I have read and understood your query- very specific and neat.

I would advise you to consult a Gastroenterologist and he may take a help of a Cardio-thoracic Surgeon. This is going to be a multi-disciplinary problem, where super-specialists of many field will be involved.

Although your diabetes is under control and HbA1c is normal, such type of mesenteric arterial stenosis is caused as a long term bad-effect of diabetes.

Fortunately with the advent of stents and a role of interventional Radiologists you can certainly get a relief after putting in a stent in the artery with an occlusion. It is similar to stent in the heart arteries.

Go for further investigations and management, Keep the diabetes under control with proper diet, exercises and medicines to avoid further complications.

Wishing you a proper diagnosis and treatment.
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What Does This CT Scan Indicate?

Hi. I have read and understood your query- very specific and neat. I would advise you to consult a Gastroenterologist and he may take a help of a Cardio-thoracic Surgeon. This is going to be a multi-disciplinary problem, where super-specialists of many field will be involved. Although your diabetes is under control and HbA1c is normal, such type of mesenteric arterial stenosis is caused as a long term bad-effect of diabetes. Fortunately with the advent of stents and a role of interventional Radiologists you can certainly get a relief after putting in a stent in the artery with an occlusion. It is similar to stent in the heart arteries. Go for further investigations and management, Keep the diabetes under control with proper diet, exercises and medicines to avoid further complications. Wishing you a proper diagnosis and treatment.